Black Russian Terrier, Black Russian Terrier Puppies

Vita

As many as 25-40% of dogs in shelters are Purebred.
We require any one interested in owning one of our puppies to submit the Puppy Application below and we ask you to contact us by phone, so we may help you decide if the Black Russian Terrier is the right breed for you. It also helps us to match the right puppy with the right home.

The application will be e-mailed to us. Also, please feel free to call us should you have any questions. We would love to hear from you.

720.301.6051 New Phone #
720.934.8183 voice mail only

PUPPY APPLICATION

*Date
*Name(s)
*Address
*City
*State & Zip Code
*Home Phone
E-mail
*Personal Reference
*Years Acquainted
*Phone Number
*How did you hear about us?
*Residence Type	House Apartment Condo
*Do you	Rent Own
*Do you have a fenced yard?
*Describe Fencing
*Do you have a kennel run?
*If "no", how will exercise/toilet be handled?
*How many people in household
*How many are children? Please give ages and tell me a little about them.
*Do your children have experience with dogs?	Yes No Limited
*Are there any family members who need special consideration for any reason?	Yes No
* Do you own any other dogs?	Yes No
*If yes, please tell me a about it/them.
*Are they Spayed/Nuetered?	Yes No
*Current Veterinarian:
* How many dogs have you owned in the last 5 years?
*What breeds have you had?
Have you owned a BRT before?	Yes No
*What happened to it/them?
* Looking for (check all that apply):	Male Female Pet Show (conformation) Performance Events
*Age desired:(check all that apply)	0-6 mos 6-12 mos 1-2 yrs 2-5 yrs 5+ yrs Open to any age
*Plan to breed:	Yes No
* Will you spay/neuter: (all pet placements are required to spay/neuter)
* Where will dog spend most of each day?
* Where will dog sleep?
* How many hours will dog be alone each day?
* How soon would you like to bring a BRT into your family?
*Will you do health testing to help me keep a record of the health of the dogs that I breed?	Yes No
* Will you return dog to DeSagres BRTs, if you can no longer keep it.	Yes No
*What made you decide to get a Black Russian Terrier?
	**Enter the security code shown below



	* Indicates a required field.
	** This is to prevent unauthorized automated scripts.